How much rates vary
Facilitymedian $457 · 10th to 90th $135 to $1,000Professionalmedian $525 · 10th to 90th $240 to $832
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $501.19 Median $537.03 Typical High $870.96 | Facility | None | $501.19 | $537.03 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $524.81 Typical High $707.95 | Professional | None (both parts) | $288.40 | $524.81 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $77.62 | $107.15 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $371.54 Typical High $501.19 | Professional | TC · Technical part | $190.55 | $371.54 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $741.31 Typical High $741.31 | Facility | None | $190.55 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $831.76 | Professional | None (both parts) | $239.88 | $288.40 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $208.93 | Professional | 26 · Professional part | $67.61 | $70.79 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $630.96 | Professional | TC · Technical part | $173.78 | $229.09 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $645.65 | Professional | None | $457.09 | $524.81 | $645.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $181.97 | Professional | 26 · Professional part | $128.82 | $151.36 | $181.97 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $371.54 Typical High $467.74 | Professional | TC · Technical part | $323.59 | $371.54 | $467.74 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $977.24 Typical High $2,041.74 | Facility | None | $380.19 | $977.24 | $2,041.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $380.19 | $602.56 | $1,202.26 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $134.90 Typical High $263.03 | Professional | 26 · Professional part | $77.62 | $134.90 | $263.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $371.54 Typical High $602.56 | Professional | TC · Technical part | $208.93 | $371.54 | $602.56 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $338.84 Typical High $707.95 | Facility | None | $112.20 | $338.84 | $707.95 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $338.84 | Professional | None (both parts) | $144.54 | $144.54 | $338.84 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $741.31 Typical High $1,174.90 | Facility | None | $602.56 | $741.31 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $239.88 Median $575.44 Typical High $870.96 | Professional | None (both parts) | $239.88 | $575.44 | $870.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $134.90 Typical High $204.17 | Professional | 26 · Professional part | $67.61 | $134.90 | $204.17 |
Providence Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $173.78 | $436.52 | $741.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Facility | None | $691.83 | $851.14 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $436.52 | $457.09 | $707.95 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $134.90 Typical High $190.55 | Professional | 26 · Professional part | $128.82 | $134.90 | $190.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $309.03 | $323.59 | $501.19 |
United Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Facility | None | $758.58 | $954.99 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $501.19 Typical High $794.33 | Professional | None (both parts) | $229.09 | $501.19 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $128.82 Typical High $218.78 | Professional | 26 · Professional part | $63.10 | $128.82 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $380.19 Typical High $630.96 | Professional | TC · Technical part | $165.96 | $380.19 | $630.96 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $154.88 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $61.66 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $154.88 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $61.66 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 6.0 times more in Wyoming than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 14th of 51
$501
WY $912UT $151
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.